Billing Coordinator

Crossroads Hospice & Palliative Care; Green, Northern (OH, KY); Hybrid; USD 38,000 - 54,000; Full time

Benefits offered by this job

Health, Dental, Vision

401k

Paid time off

Job summary

Crossroads Hospice & Palliative Care is seeking a Billing Coordinator to support our mission by ensuring accurate patient billing and smooth insurance processing. You will work with our interdisciplinary team to resolve questions and keep accounts current.

In this role, you will obtain referrals, verify benefits, review bills, transmit claims, follow up on denials, and collaborate with patients and families to ensure clear communication and timely payments.

Qualifications

• Minimum of a high school diploma; associate degree preferred.
• 1 to 3 years of experience in a medical office setting.
• Knowledge of HMO/PPO, Medicare, Medicaid, and payer requirements.
• Ability to communicate with patients and families from diverse backgrounds.
• Strong problem-solving and discrepancy resolution skills.

Responsibilities

• Obtain referrals and pre-authorizations for procedures.
• Check eligibility and verify benefits.
• Review patient bills for accuracy and gather missing information.
• Prepare and transmit claims using billing software.
• Follow up on unpaid claims within standard billing cycles.
• Research and appeal denied claims.

Skills

Customer service

Communication

Problem-solving

Attention to detail

Education

High school diploma

Associate's degree in Business Administration, Health Care Administration, or related field

Tools

Billing software

Job description

At Crossroads Hospice & Palliative Care, our office teams play a crucial role that extends beyond administrative tasks and paperwork. Every team member is an essential part of the compassionate care we provide to our patients and their families. While our caregivers deliver vital medical support, we ensure that all aspects of our patients' needs are addressed. Our relationships, founded on trust, are the cornerstone of communication within our interdisciplinary teams.

We believe that end-of-life care should never feel transactional, regardless of economic factors. Every person we care for deserves to be treated with dignity, compassion, and respect, no matter the circumstances. Together, we strive to make each moment count, providing comfort and meaning not just to the patients but also to their loved ones, who will cherish these memories forever.

Consider joining us on this journey where your dedication to exceptional work can truly make a difference in the lives of those we serve. Together, we can create lasting impacts that transcend medical treatment.

Billing Coordinator Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes

Billing Coordinator Requirements:

• High school diploma
• Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
• Minimum of 1 to 3 years of experience in a medical office setting
• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

Billing Coordinator Schedule & Benefits:

• Schedule: Monday to Friday, 8:30 AM - 5:00 PM
• Be part of a team willing to grow, listen, be heard, and be challenged.
• Health, Dental, Vision, 401k, PTO.
• Competitive industry pay.